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Minimum 2 year working with HEDIS standards, quality measures, and Medicare Advantage (can be concurrent). One of the teams that is central to accomplishing that mission is our Medicare Advantage Stars team.
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Medicare Advantage and Medicaid (Dual Members) risk adjustment experience preferred. Preferred Location: Hanover, MD.The Medicare Risk Adjustment Advanced Analytic Senior Is responsible for creating statistical models to predict, classify, quantify, and/or forecast business metrics.
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Job Description :Medicare Risk Adjustment Advanced Analytic SeniorLocation: This position will work a hybrid model (remote and office). Job Description :Medicare Risk Adjustment Advanced Analytic SeniorLocation: This position will work a hybrid model (remote and office.
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Minimum Requirements:Requires MS, MA, or PhD with concentration in a quantitative discipline such as statistics, computer science, cognitive science, economics, or operations research, a minimum of 3 years direct experience programming large, multi-source datasets with SAS required, and a minimum of 3 years in health care setting; or any combination of education and experience which would provide an equivalent backgroundPreferred Skills, Capabilities, and Experiences:PhD preferred.
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Great Place to Work®Most Loved Workplace® Forbes Best-in-State EmployerMedicare Specialist (Remote)PRIMARY PURPOSE: To coordinate, analyze and facilitate Medicare Compliance and Medicare Set-Aside (MSA) functions within the assigned team.
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Our health plan serves more than 640,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans. Presbyterian is hiring a Medical Assistant for the Medicare Advantage Pan American Clinic.
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Communicates and advises appropriate internal and external stakeholders on Medicare Compliance and Medicare Set-Aside (MSA) matters including, but not limited to, lien negotiation efforts, MSA submissions and/or general information.
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The Medicare Senior Sales Manager will supervise Medicare Sales Field Agents who sell the portfolio of products offered to the Medicare population. The Medicare Senior Sales Manager leads an internal sales team while also responsible for support and growth of External Partner Production.
$62,000 - $85,300 a yearFull-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Experience selling Medicare Advantage products. The Director, Group Medicare Sales and Labor Relations sells health insurance and related products to new large group accounts (generally 300+ contracts) and leads the Labor Relations team.
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Within our Digital Content Advantage practice, you will function as Subject Matter Advisor on content strategy, capabilities, technologies and vendors. Operations Transformation Archiving Lead, Digital Content Advantage.
$124,950 - $208,250 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Experience in at least two of the following areas: SAP ECC/ S4 HANA Data Archiving & Information Lifecycle Management tools, Data Retention Tool (DaRT), Document Archiving, Print List Archiving, SAP Legacy decommissioning using Dart, SAP ILM software, SAP ILM Retention Warehouse (system decommissioning and reporting) or OpenText.
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Job Description :Audit & Reimbursement III- Medicare Cost Report Appeals This is a virtual position, the ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.
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Job SummaryThis position will support the development of divisional strategies related to Value Based Care (VBC) in the Medicaid, Medicare, and ACA Lines of Businesses. Job SummaryThis position will support the development of divisional strategies related to Value Based Care (VBC) in the Medicaid, Medicare, and ACA Lines of Businesses.
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Manages all aspects of developing and submitting all Medicare Advantage and Senior Care Options Evidence of Coverage (EOC), Schedule of Benefits (SBs) and Low-Income Subsidy (LIS) Rider documents.
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Under guided supervision, the Audit and Reimbursement III will gain experience on complex issues involving the Medicare cost report and Medicare Part A reimbursement. The Audit and Reimbursement III will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health and Human Services.
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Title: medicare advantage Company: Health Partners Plans
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